adolescents living with HIV

Screening and supporting through schools: educational experiences and needs of adolescents living with HIV in a South African cohort

Many adolescents living with HIV remain disconnected from care, especially in high-prevalence settings. Slow progressors-adolescents infected perinatally who survive without access to lifesaving treatment-remain unidentified and disconnected from heath systems, especially in high-prevalence settings. This study examines differences in educational outcomes for ALHIV, in order to i) identify educational markers for targeting HIV testing, counselling and linkages to care, and ii) to identify essential foci of educational support for ALHIV.
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Correlates of Fatigue Among South African Adolescents Living with HIV and Receiving Antiretroviral Therapy

Fatigue among adolescents living with HIV is poorly understood. In this study, we examined the relationships between fatigue and demographic and psychosocial variables to further the understanding of the symptom experience and associated factors.
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Mental health in South African adolescents living with HIV: correlates of internalising and externalising symptoms

Although declining in all other age groups, AIDS-related deaths among adolescents are increasing. In the context of HIV, mental health problems are associated with negative health outcomes, including non-adherence to life-saving ART. For effective programming it is essential to identify factors associated with psychological outcomes in this population. Adopting a socioecological perspective, we aimed to identify correlates of internalising and externalising symptoms in a large, representative sample of South African adolescents living with HIV.
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Youth and HIV

Author
Population Council

Worldwide, a large proportion of all new HIV infections occur in people under age 25. AIDS is currently the leading cause of death among adolescents in sub-Saharan Africa and the second leading cause of death globally. AIDS-related deaths are declining in every age group except 10–19 years old.

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TALKING HIV: Being young and positive (audio)

Author
Avert

In the second instalment of our new series – Talking HIV – we hear from Jimmy and Favour from Malawi. Jimmy and Favour are both 19 and living with HIV. We hear them talk about what it’s really like being young and positive, their personal struggles and how they got through them.

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Sustainable survival for adolescents living with HIV: do SDG‐aligned provisions reduce potential mortality risk?

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Yes
Author
Lucie Cluver, Marija Pantelic, Mark Orkin, Elona Toska, Sally Medley, Lorraine Sherr

The Sustainable Development Goals (SDGs) present a groundbreaking global development agenda to protect the most vulnerable. Adolescents living with HIV in Sub‐Saharan Africa continue to experience extreme health vulnerabilities, but we know little about the impacts of SDG‐aligned provisions on their health. This study tests associations of provisions aligned with five SDGs with potential mortality risks. 

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"My mother told me that I should not": a qualitative study exploring the restrictions placed on adolescent girls living with HIV in Zambia

Is the resource available on the Internet?
Yes
Author
Mackworth-Young CR, Bond V, Wringe A, Konayuma K, Clay S, Chiiya C, Chonta M, Sievwright K, Stangl AL

Adolescent girls in sub-Saharan Africa are disproportionately affected by HIV due to a range of social and structural factors. As they transition to adulthood, they are recipients of increasing blame for HIV infection and 'improper' sex, as well as increasing scrutiny, restrictions and surveillance. This study used a qualitative and participatory approach to explore the messaging and restrictions imposed on adolescent girls living with HIV in Zambia.

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Diagnosis disclosure to adolescents living with HIV in rural Kenya improves antiretroviral therapy adherence and immunologic outcomes: A retrospective cohort study

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Yes
Author
Montalto GJ, Sawe FK, Miruka A, Maswai J, Kiptoo I, Aoko A, Oreyo C, Obiero E, Korir S, Bii SK, Song KX, Kunz AN

Emphasis on adolescent HIV has increased worldwide as antiretroviral treatment has greatly extended life expectancies of HIV-positive children. Few evidence-based guidelines exist on the optimal time to disclose to an adolescent living with HIV (ALHIV); little is known about the medical effects of disclosure. This study looked to determine whether disclosure is associated with improved medical outcomes in ALHIV. Prior work has tended to be qualitative, cross-sectional, and with an emphasis on psychosocial outcomes.

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Scaling a waterfall: a meta-ethnography of adolescent progression through the stages of HIV care in sub-Saharan Africa

Is the resource available on the Internet?
Yes
Author
Williams S, Renju J, Ghilardi L, Wringe A

Observational studies have shown considerable attrition among adolescents living with HIV across the "cascade" of HIV care in sub-Saharan Africa, leading to higher mortality rates compared to HIV-infected adults or children. We synthesized evidence from qualitative studies on factors that promote or undermine engagement with HIV services among adolescents living with HIV in sub-Saharan Africa.

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